Gonzales v. Oregon (formerly Oregon v. Ashcroft)
Issues
Whether the Controlled Substance Act authorizes the Attorney General to decide that physician-assisted suicide does not serve a "legitimate medical purpose," thereby nullifying an Oregon statute permitting this particular practice in some circumstances.
Congress enacted the Controlled Substance Act ("CSA") in 1970 as part of a comprehensive federal scheme to regulate and control certain drugs and other substances. A 1984 Amendment to the Act authorized the Attorney General to prohibit medical practitioners' use of a controlled substance if that use was "inconsistent with the public interest." 21 U.S.C. § 824(a)(4). In 2001, Attorney General Ashcroft determined that Oregon physicians' use of a federally registered controlled substance to facilitate physician-assisted suicide was not a legitimate medical purpose, despite an Oregon statute which authorized such use. In Oregon's suit, brought to enjoin Ashcroft from giving any legal effect to his directive, the District Court ruled for Oregon and issued a permanent injunction, and the Court of Appeals for the Ninth Circuit affirmed. Oregon argues that since states traditionally regulate medical practices, Gonzales (the new Attorney General, replacing Ashcroft) must show that Congress expressly intended to authorize the Attorney General to make such a determination. Gonzales argues that the Attorney General's reasonable interpretation of a federal regulation is entitled to deference, even without a clear statement of legislative intent, and that Ashcroft's interpretation of the CSA is reasonable. In the alternative, Gonzales argues that Ashcroft's interpretation is consistent with Congress's intent in passing the CSA and the 1984 Amendment. This case will decide the fate the Oregon statute by either expanding or limiting the federal government's authority over traditionally state-regulated medical practices. This case also has far-reaching moral and ethical implications that go beyond the scope of states' rights.
Questions as Framed for the Court by the Parties
Whether the Attorney General has permissibly construed the Controlled Substance Act, 21 U.S.C. 801 et seq., and its implementing regulations to prohibit the distribution of federally controlled substances for the purpose of facilitating an individual's suicide, regardless of state law purporting to authorize such distribution.
In 1970, Congress passed the Controlled Substance Act ("CSA") as part of a comprehensive federal scheme to regulate and control certain drugs and other substances. Under the CSA, physicians who prescribe controlled substances are considered "practitioners" who "dispense" controlled substances. 21 U.S.C. § 802(10) and (21). In order to obtain authorization to dispense such controlled substances, practitioners must register with the Attorney General and obtain a Drug Enforcement Agency ("DEA") certificate of registration.